Course Evaluation
TeamSTEPPS Long-Term Care Instructor Guide
Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS)
Location: ______________________________________ Date: __________________________________________ |
Rating Scale (circle one) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 001 Module I: Introduction - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe the TeamSTEPPS training initiative........................................................................... | 1 | 2 | 3 |
2. Explain your nursing home's resident safety program................................................................... | 1 | 2 | 3 |
3. Describe the impact of errors and why they occur................................................................... | 1 | 2 | 3 |
4. Describe the TeamSTEPPS framework.................................................................................. | 1 | 2 | 3 |
5 State the outcomes of the TeamSTEPPS framework................................................................ | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?........................................... | 1 | 2 | 3 |
Comments:
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Session 002 Module II: Team Structure - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Identify the characteristics of high-performing teams................................................................ | 1 | 2 | 3 |
2. Discuss benefits of teamwork and structure............................................................................ | 1 | 2 | 3 |
3. Describe components and composition of a multi-team system (e.g., Core Team, Coordinating Team, Contingency Team, Ancillary Services, and Administration).............................................. | 1 | 2 | 3 |
4. Understand what defines a team............................................................................ | 1 | 2 | 3 |
5. Define the roles and effectiveness of team members................................................................. | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?........................................... | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 003 Module III: Leadership - 40 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe different types of team leaders................................................................................. | 1 | 2 | 3 |
2. Describe roles and responsibilities of an effective team leader................................................. | 1 | 2 | 3 |
3. Describe the leader's role in resource management................................................................. | 1 | 2 | 3 |
4. Describe the delegation process............................................................................................. | 1 | 2 | 3 |
5. Describe strategies for team leaders to include team huddles and debriefs................................ | 1 | 2 | 3 |
6. Describe how effective team leaders facilitate conflict resolution............................................... | 1 | 2 | 3 |
7. Identify the barriers, tools, strategies, and outcomes of leadership............................................ | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?........................................... | 1 | 2 | 3 |
Comments:
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Session 004 Module IV: Situation Monitoring - 45 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Define Situation Monitoring.................................................................................................... | 1 | 2 | 3 |
2. Define Cross-Monitoring........................................................................................................ | 1 | 2 | 3 |
3. Discuss the components of the STEP process......................................................................... | 1 | 2 | 3 |
4. Define Situation Awareness (SA) and identify conditions that undermine SA............................ | 1 | 2 | 3 |
5. Discuss the importance of a shared mental model.................................................................... | 1 | 2 | 3 |
6. Discuss when to share information.......................................................................................... | 1 | 2 | 3 |
7. Recognize the barriers, tools, strategies, and outcomes of situation monitoring......................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......................................... | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 005 Module V: Mutual Support - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Define mutual support............................................................................................................ | 1 | 2 | 3 |
2. Describe task assistance and the types of feedback................................................................ | 1 | 2 | 3 |
3. Describe advocacy, assertion, and the Two-Challenge rule..................................................... | 1 | 2 | 3 |
4. Discuss the "CUS" and "DESC script" techniques.................................................................. | 1 | 2 | 3 |
5. Discuss common approaches to conflict resolution.................................................................. | 1 | 2 | 3 |
6. List barriers, tools, strategies, and outcomes of mutual support............................................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......................................... | 1 | 2 | 3 |
Comments:
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Session 006 Module VI Communication - 45 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe the importance of communication............................................................................ | 1 | 2 | 3 |
2. Recognize the connection between communication and medical error...................................... | 1 | 2 | 3 |
3. Define communication and discuss the standards of effective communication............................ | 1 | 2 | 3 |
4. Describe strategies for information exchange........................................................................... | 1 | 2 | 3 |
5. Identify barriers, tools, strategies, and outcomes to communication........................................ | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?......................................... | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 007 Module VII: Summary-Putting It All Together - 45 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Discuss how to use the tools and strategies presented in this training.................................... | 1 | 2 | 3 |
2. Demonstrate how to appropriately apply the tools and strategies to real-life situations............ | 1 | 2 | 3 |
3. Practice using tools and strategies for overcoming barriers to team effectiveness..................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......................................... | 1 | 2 | 3 |
Comments:
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Session 008 Change Management: How to Achieve a Culture of Safety - 135 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Identify and discuss the Eight Steps of Change............................................................... | 1 | 2 | 3 |
2. Describe the actions required to set the stage for organizational change.......................... | 1 | 2 | 3 |
3. Identify ways to empower team members to change........................................................ | 1 | 2 | 3 |
4. Discuss what is involved in creating a new culture........................................................... | 1 | 2 | 3 |
5. Begin planning for the change in the nursing home............................................................ | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?................................... | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 009 Coaching Workshop - 65 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. State how team members' knowledge, skills, and attitudes are developed........................... | 1 | 2 | 3 |
2. Describe the characteristics of an effective coach............................................................... | 1 | 2 | 3 |
3. Assess coaching strengths and areas for improvement.......................................................... | 1 | 2 | 3 |
4. Identify the results of good coaching................................................................................ | 1 | 2 | 3 |
5. Demonstrate and evaluate coaching competencies.............................................................. | 1 | 2 | 3 |
6. Describe how to implement a coaching strategy................................................................ | 1 | 2 | 3 |
7. Demonstrate effective coaching in a role-play scenario..................................................... | 1 | 2 | 3 |
8. Define the basic coaching process.................................................................................... | 1 | 2 | 3 |
9. Discuss the characteristics of an effective coach...................................................................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......................................... | 1 | 2 | 3 |
Comments:
|
Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Session 010 Implementation Workshop- 180 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Discuss our facility or department's implementation plan........................................................ | 1 | 2 | 3 |
2. Identify at least two additional members for the change team.................................................. | 1 | 2 | 3 |
3. Discuss additional resources needed for implementation......................................................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......................................... | 1 | 2 | 3 |
Comments:
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Session 011 Practice Teaching Session - 330 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Demonstrate teaching one module from the Medical Team Training TeamSTEPPS Course...... | 1 | 2 | 3 |
2. Discuss areas to improve the delivery of the content............................................................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?........................................... | 1 | 2 | 3 |
Comments:
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Rate the following:
The activity:
Was well organized, using the scheduled time efficiently. | Agree | Neutral | Disagree |
Provided practical, useful information. | Agree | Neutral | Disagree |
Kept my interest and made it easy to learn. | Agree | Neutral | Disagree |
Was up to date in terms of current practice and issues. | Agree | Neutral | Disagree |
Please respond to the following questions regarding disclosure of commercial support:
Were you provided disclosure of significant support or substantial financial relationships between faculty and commercial entities? |
Yes | Neutral | No |
Was bias in favor of a product present to the extent that the presentation was unbalanced or represented commercial promotion? |
Yes | Neutral | No |
If you feel any of the presentations were unbalanced, please elaborate.
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What changes will you make in your practice as a result of this activity?
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How can the educational aspects of this activity be improved?
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What recommendations do you have for future speakers or topics?
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Additional Comments:
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